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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610372
Report Date: 12/11/2025
Date Signed: 12/11/2025 01:37:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/02/2025 and conducted by Evaluator Angelica Segovia
COMPLAINT CONTROL NUMBER: 31-AS-20251202141313
FACILITY NAME:WILLOWVIEW HOME TWO, LLCFACILITY NUMBER:
197610372
ADMINISTRATOR:ANGUIANO, EMALYNFACILITY TYPE:
740
ADDRESS:44148 12TH ST WESTTELEPHONE:
(661) 418-6180
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:6CENSUS: 3DATE:
12/11/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Elbert Perez- CaregiverTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Staff handled resident in care in a rough manner.
INVESTIGATION FINDINGS:
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On 12/11/2025 at approximately 09:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced initial complaint visit to the facility to investigate the above allegation(s). LPA was greeted by the caregiver and stated the reason for their visit. The Administrator, Emalyn Anguiano was not present, nor could they attend today’s visit. When LPA spoke to the Administrator, they stated they are more than an hour away and designated the caregiver to sign today’s report.

To investigate the allegation(s) at 09:35 AM, LPA requested census, resident, and staff roster. At 09:45 AM LPA conducted a physical plant tour, to ensure the health and safety of the residents. At approximately 10:30 AM, LPA requested pertinent documentation related to the investigation. Between 10:30 AM – 1:00 PM, LPA attempted interviews with three (3) residents (R1-R3) and two (2) staff members (S1-S2).

(Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 31-AS-20251202141313
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: WILLOWVIEW HOME TWO, LLC
FACILITY NUMBER: 197610372
VISIT DATE: 12/11/2025
NARRATIVE
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Regarding the allegation: Staff handled resident in care in a rough manner. It was alleged that S2 had handled R1 in a rough manner such as slamming them onto their bed. To investigate the allegation, LPA attempted interviews with three (3) residents and two (2) staff members. R1 is currently not present at the facility. Per S2, R1 was sent to the hospital due to shortness of breath (SOB). LPA was able to interview R1 ahead of today’s visit where R1 revealed that S2 would pick them up from their bed and slam them back down onto the bed. LPA’s interview with R2 revealed that S2 has never slammed them onto their bed. R2 stated S2 is, “Very nice”. LPA attempted to interview R3 but due to their inability to validate the questions being asked due to their medical diagnosis, LPA terminated the interview. LPA’s interview with S2 revealed that they never treated R1 in a rough manner such as slamming them. S2 denied treating any of the residents in a rough manner or slamming them onto their bed. S1 was not present during the time of the visit but LPA was able to speak to them over the phone where they stated S2 is the main caregiver and the established designee of the facility. During LPA’s physical plant tour, LPA observed S2 to be the only staff member present to care for the two (2) residents. LPA observed S2 to be cleaning and cooking. LPA observed S2 preparing lunch for both residents. LPA observed both residents to be in good condition and did not observe any of them to appear in distress. LPA observed both R2 and R3 interacting with S2. LPA observed both residents to not show any signs of distress when around S2 such as flinching, withdrawal and/or panicking.

Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

During LPA’s physical plant tour and record review. LPA observed deficiencies which will be addressed on a Case Management visit.

Exit interview conducted and a copy of this report was provided to the caregiver.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2